Adama Science and Technology University
Adama, Ethiopia
Application Form
Academic Rank
Professor
Associate Professor
Assistant Professor
Senior Lecturer
Lecturer
1. Full Name ( in capital letter):
2. Sex: Male Female
3. For correspondence: Email: Mobile phone
4. Specialization area to apply for
5. Academic Records
Degree Title of Year University Subjects CGPA Remarks
Degree endowed
Bachelor
Master
Doctor
Other
6. Work experience ( chronological order)
Position Period of Service (mm/yyyy) Main duties Employer
From To
7. Research work/experience
8. Industrial experience(s)
9. Honors/Distinction/Fellowship/Medals awarded/ obtained (if any):
10. Publications
1) Number of books:
2) Number of research papers and patent(s):
Details to be attached, including Title, Authors, Name of Journal, Year, Volume No.,
pages
11. Any other work relevant to the qualifications for the post applied for
12. Membership of professional societies
I hereby declare that the entries in the above are true, and nothing has been concealed or mis-
presented.
Date: Signature of the candidate
Please include a motivation letter.